Running Head: RESEARCH BASED WATCHFUL WAITING
Research Based Watchful Waiting
Research Based Watchful Waiting
The American Academy of Pediatrics and American academy of family physicians is a filtered resource in that the information is based on a particular issue of the care issued by the health practitioners to children. The causative pathogen, antibiotics and therapeutic considerations in acute otitis media by Stan Block is a form of filtered type of resource that looks at the agents causing the Otitis Media which relates to the disease affecting the children in the current situation it may be used to help take care of the children. The Current Diagnosis and Treatment: Pediatrics resource is a form of filtered evidence as the resource looks more specifically on the caring of the children by the health practitioners (McCracken, G. H., 1998; American Academy of Pediatrics and American Academy of Family Physicians, 2004). The Treatment of acute otitis media in an era of increasing microbial resistance resource by McCracken George is a filtered information resource that reviews various forms of information makes use of data that is already well organized for the treatment of the disease. The family interviews that were conducted on the disease are classified as filtered source of information as they are based solely on the matters that are at hand of taking care of the patients suffering from the disease.
The American Academy of Pediatrics and American academy of family physicians source of evidence is an evidence-based clinical guideline that issue recommendations to primary care practitioners when they are managing children aged from the two months to twelve years that do not have complex form of acute otitis media (AOM). The Treatment of acute otitis media in an era of increasing microbial resistance resource by McCracken George attempts to review the viral and bacterial etiologies of the acute otitis media and its history, so as to create a rational method of choosing the antibiotic therapy. The other resource, causative pathogens, antibiotics and therapeutic considerations in acute otitis media by Stan Block, focuses on bacterial pathogens that cause AOM, current modes in the emergence and susceptibility forms of the antibiotic-resistance Streptococcus pneumonia and the antimicrobial agents present for diagnosis. Moreover, it also handles the importance of the correlation that exists between then middle ear fluid of the therapeutic agents as well as their MICs against the pathogens causing them. Finally, the Current Diagnosis and Treatment: Pediatrics resource which handles the signs and symptoms as well as the treatment. All of these resources are sufficient evidences that are well in accordance with the relevance of the nursing practice situation. The parent interviews are used basically to find out how the patients are handled as well as how they are taken care of. This form of information is relevant as they form the basis on how the treatment may be applied from just a watching perspective.
The American Academy of Pediatrics and American academy of family physicians source of evidence is an evidence-based guideline that issues recommendations for the nurses for the handling of children. The causative pathogen, antibiotics and therapeutic considerations in acute otitis media by Stan Block, is a primary research evidence type of resource. While the Current Diagnosis and Treatment: Pediatrics resource is an example of summary evidence. Consequently, the Treatment of acute otitis media in an era of increasing microbial resistance resource by McCracken George is none among this considering that it reviews an already performed research, neither is it a summary as it gives detailed information on the findings and consequently it is in no way a guideline but just a review.
In the evidence resource, the American Academy of Pediatrics and American academy of family physicians is a guideline that offers recommendations to clinic health practitioners on the care and management of children that are born in the period of two months to 12 years of age with the disease Otitis Media. The resource basically is on the meeting that was held by the pediatrics and physicians in the various areas of otolaryngology, epidemiology and diseases that are easy to infect others. The resource looked at various reports among other resources so as to come up with the guidelines made by meeting held by the health experts. The guideline that was produced from these reports and sources was used to create the guideline. The guideline is significant in offering diagnosis and treatment of children that are suffering from the disease, Otitis Media. The parents’ interviews in the research based watch plays a role in the family medical history that is relevant in the treatment and taking care of the patients more appropriately.
The guideline introduces the reader to what AOM is; one is able to manage the pain, the varied forms of signs and symptoms alongside its treatment, the best option for when issuing antibacterial treatment, that is more appropriate when taking care children with the disease and the best practices of preventing an individual from contracting the disease (Kelley, P. E., et al, 2007). Intensive approval was undertaken to ensure the quality of the evidence guideline. The resource basically aims to offer guidance when handling children suffering from the disease. It is therefore an appropriate source for treating children with the disease.
The findings in the source would be quite relevant considering the child’s age, diagnosis certainty and the illness certainty. The history of the disease has to be confirmed on when it comes, notice the signs of the MEE and assess the presence of signs and symptoms of the middle ear defect. When taking care of a patient with the disease, in this case a child, an assessment of the pain would be quite relevant hence if present steps to reduce it should be made. Any steps made to treat the antibacterial agent should be made using amoxicillin. If for any reason that the child does not respond to these treatment in two to three days a confirmation of the disease has to be done. Prevention from the disease should however be encouraged as opposed to treatment.
Research in children is a moral task that is founded on the basis of varied forms of ethical issues. These issues lay on the desire to make a high level of quality on the health care accessible to all persons, inclusive of the vulnerable section of the populations. The pursuance of excellence as well as informative research in children upholds varied forms of principles. The Otitis Media health practitioners ought to focus on these matters and others.
The children being part of the population have been handled properly in several researches, involving the protectionist attitude of some people, complexity in recruiting the right size for the Otitis Media and the financial disincentives of placing into the market the treatment for a section of the population. Several sectors or funds are allocated for these evidence based research. It however remains vague on how these finances are supposed to translate to an advantage without evading the possibility of increasing risk. The researchers ought to be in a position to develop the health of the children and not basically for marketing.
The children are described as being vulnerable patients who require emergency care, more so in the event of design and conduction of the research. Vulnerability and the possibility of interference of the interests of the children such researches provide venues of exploitation of the children and safety issues that are based on the matters and tasks of the researcher (Block, S. L., 1997). The researchers are supposed to advocate for research involvement of the subject, who is in case are the children. Research that involves children creates a big threat in relation to informed consent and assent. The children at times are not involved in the discussion of the consent for the research involvement. The confidentiality of the information at times are not taken into consideration, they are easily accessible by unauthorized sectors in and out of the research quarters.
It is hence a recommendation that the health practitioners are supposed to press for the evidence based research to be done in children based moral obligation. These measures are meant to involve the pushing for enough financial assistance by the varied entities. The health practitioners are supposed to know that children are advancing in the decision making capability. They hence should be involved in the decision making process for consent for research participation.
Bibliography
American Academy of Pediatrics and American Academy of Family Physicians. (2004) Clinical practice guideline: Diagnosis and management of acute otitis media. Retrieved September 12, 2011, from http://aappolicy.aappublications.org/cgi/content/full/pediatrics;113/5/1451
Block, S. L. (1997). Causative pathogens, antibiotic resistance and therapeutic considerations in acute otitis media. Pediatric Infectious Disease Journal, 16, 449–456. (This article is available on e-reserves.)
Kelley, P. E., Friedman, N., Johnson, C. (2007). Ear, nose, and throat. In W. W. Hay, M. J. Levin, J. M. Sondheimer, & R. R. Deterding (Eds.), Current pediatric diagnosis and treatment (18th ed., pp. 459–492). New York: Lange Medical Books/McGraw-Hill.
McCracken, G. H. (1998). Treatment of acute otitis media in an era of increasing microbial resistance. Pediatric Infectious Disease Journal, 17, 576–579.
